Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14995 | Date 11/02/2025 |
| Token No | SM/24-25/42774 11/02/2025 | Serial | 006 Last Visit: 21/06/2025 |
| Patient Name | Mrs. MITALI CHAKRABORTY | Contact No | |
| Address | ANIYA,HOOGHLY | Age | 55 Years,5 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||